Hansberry, Tony Demarco

Hansberry, Tony Demarco is an individual health care provider with primary practice located at 1 Jarrett White Rd , Tripler Army Medical Center HI 96859-5001. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Hansberry, Tony Demarco can be contacted via phone (808) 433-2737.

Contact Information

Primary practice address
1 Jarrett White Rd Tripler Army Medical Center HI 96859-5001
Phone: (808) 433-2737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1821753153
LBN Legal business name Hansberry, Tony Demarco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2021
Last updated Jun 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821753153 NPPES
Georgia Other XKT561W07177 ANTHEM

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